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Woman dies after surgery at home

Police to probe plastic surgeon

Framingham police said early this morning that the Middlesex District Attorney's Office is investigating the death yesterday of a 23-year-old woman after a cosmetic procedure done by a Brazilian man in the basement of a Framingham home.

Authorities would not release details on the death of Fabiola de Paula, a native of Brazil who was living in Framingham.

The surgery took place in a home in the Bishop Gardens condominium community, said a woman who lived in the home and asked not to be identified. She said the surgeon showed doctors at MetroWest Medical Center a license from Brazil to practice plastic surgery.

It was not clear last night if the surgeon, identified by the woman as Luis Carlos Ribeiro, was licensed to practice medicine in Massachusetts.

De Paula appears to be the victim of a growing underground circuit of illegal physicians working within a very closed community.

That and other surgeries were arranged by Celia Sieleman and performed in her home. She had met the surgeon at a friend's home about four years ago, said her daughter, who declined to give her name. Sieleman had botox and other facial work done by the surgeon and then began to help him arrange procedures, her daughter said.

Nalia da Silva, 26, of Framingham said that on Saturday she had a lyposuction procedure similar to the one de Paula underwent. She said the man presented himself as a physician.

Sieleman's daughter, who helped Ribeiro bring de Paula to the MetroWest Medical Center at around 7 p.m., confirmed that the dead woman had also undergone a lyposuction procedure. She said Ribeiro told doctors there that de Paula coughed during the procedure and passed out.

Da Silva said the surgeon never asked for medical records and did no tests before the surgery.

Da Silva went to hospital last night, on the advice of police.

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